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In another sign that it’s embracing nonlegislative means of altering healthcare policy, the Trump administration is poised to issue new guidelines that pave the way for states to enact Medicaid work requirements.

2017 ended up being a bumpy ride for health care policy in America. Though outright Obamacare repeal never happened, the GOP tax law did kill the ACA individual mandate. This change to federal law will have an impact on millions of Americans in the coming years, especially those 50 to 64.

Through the partnership with the Department of Corrections, the university will provide a chief medical officer, Carmen McIntyre, M.D.; chief psychiatrist, Shahid Hussein, M.D.; and an assistant chief medical officer, James Blessman, M.D., to provide clinical direction and oversight to the state's prison health care system.

Cuts had to be made because of an ongoing revenue shortfall, partially caused by a 2015 law that exempted corporations from paying taxes on sales made in other states. In the past 12 months, both Greitens and his predecessor, Gov. Jay Nixon, had cut about $350 million from the state budget.

Kansas and Missouri would absorb smaller Medicaid cuts than most other states under health care bills proposed by Republicans in Congress. But they might still hurt, because both states already have fairly lean Medicaid programs.

Texas rejected billions in federal aid to expand Medicaid under the Affordable Care Act, calling the program “broken.” But now it’s asking the Trump administration to renew a deal that’s brought the state an additional $6.2 billion a year under Medicaid to help care for the poor.

A partnership at Michigan State University between the College of Human Medicine and MSU Extension is serving as a model of how land-grant universities can collaborate with medical schools to increase health research and strengthen primary care delivery.

Now, faced with growing Medicaid enrollment and tight budgets, Republican lawmakers in several other states are taking similar steps to ensure that people receiving welfare benefits are eligible for them.